Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PTRS 745 Exam 1 > Manual Therapy > Flashcards

Manual Therapy Flashcards

1
Q

Term: Skilled hand movements to mobilize soft tissue and joints for the purpose of pain modulation, increase ROM, decrease soft tissue inflammation

A

Manual therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What are 3 reasons for using manual therapy?

A
  1. Pain modulation 2. Increase ROM 3. Decrease soft tissue inflammation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Term: Manual therapy techniques comprised of skilled passive movements to joints that are applied at varying speed and amplitudes.

A

Mobilization/manipulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Term: a passive movement technique performed by an operator in a manner that is at all time within the ability of the pt. to prevent the movement

A

Mobilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Term: A passive movement technique performed at the limit of the available passive range at a speed that is beyond the pt.’s control

A

Manipulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Term: High velocity, low amplitude therapeutic movements applied within or at end ROM

A

Thrust manipulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Term: speed

A

Velocity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Term: Distance

A

Amplitude

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Term: force

A

Thrust

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Content: Two types of mobilization

A
  1. Passive physiological movement (PPM) or osteokinetmatics
  2. Passive accessory movement (PAM) or arthrokinematics or joint play
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Content: limitation to motion - osteokinematics (3)

A
  1. muscle or soft tissue
  2. joint capsule
  3. joint play
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Content: limitation to motion - arthrokinematics (4)

A
  1. Ligaments
  2. Bone congruence
  3. Intra-articular cartilage
  4. Joint capsule
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Q: What is are examples of PPM?

A

Flexion/extension, ABD/ADD, IR/ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Q: What is are examples of PAM?

A

Roll, glide, spin, distraction/compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

T/F: Manipulation is within the scope of PT practice.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

T/F: PT and Chiropractors are solely responsible for manual therapy.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Q: What is the difference between PT and Chiropractors?

A
  1. Philosophy is different
    - Chiropractor - manipulation can treat and cure any aliment
    - PT - use manipulation to decrease pain and increase mobility
  2. Technique is different
    - Chiropractor = long levers
    - PT = short levers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

T/F: PTs perform chiropractic manipulations.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Q: Which should you pay more attention to the broad, nationwide practice act or the state specific practice act?

A

State practice acts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

T/F: Grade 5 manipulation is within KS state practice act

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Q: Which 3 states do not allow grade 5 manipulation?

A
  1. Arkansas
  2. West Virginia
  3. Washington
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

T/F: Students do not follow the practice pattern of their CIs and their decisions are not influenced by their CIs practice patterns.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Q: Manual therapy is ____________ for certain people when __________ with certain __________.

A

Beneficial, performed, exercises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Content: Possible mechanism for manual therapy (3)

A
  1. Neuorphysiological
  2. Mechanical
  3. Psychological/placebo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Content: Neurophysiological mechanism (4)

A
  1. descending pain inhibitory system
  2. endogenous opioid release
  3. gate control theory
  4. change in reflex excitability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Content: Mechanical mechanism (3)

A
  1. free up entrapped/torn meniscoid
  2. mechanical disruption to intra-articular adhesion
  3. stretching of joint capsule
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Content: Absolute contraindications for manual therapy (8)

A
  1. Malignancy
  2. Neurological - cauda equina syndrome
  3. Vascular
  4. Bone disease
  5. Inflammatory conditions
  6. Infection
  7. Acute symptomatic disc herniation
  8. Undiagnosed pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Content: Relative contraindications for manual therapy (12 - general idea)

A
  1. RA
  2. Osteoporosis
  3. Spondylolisthesis
  4. Hypermobility/instability
  5. Pregnancy
  6. Previous malignant disease
  7. Acute trauma
  8. Protectice spasm
  9. Gross degenerative changes
  10. Psychological pain
  11. Steroid or anitcoagulant
  12. Severe nerve root pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Q: How does the therapists perspective alter the placebo effect?

A

Communication, use the placebo effect to your advantage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Content: Precautions for manual therapy (5)

A
  1. Recent trauma
  2. Ligament injury
  3. Post-op
  4. Empty end feel or muscle spasm
  5. acute inflammation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Content: Indications for manual therapy (5)

A
  1. mild or moderate pain of musculoskeletal origin
  2. joint hypomobility
  3. a non-irritable mild/moderate irritable condition
  4. remodeling stage of recovery - subacute
  5. acute spinal pain without neurological symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Content: Kaltenborn distraction grading system (3)

A

Grade 1 = unloading and decompressing the joint surfaces

Grade 2 = separation of joint surfaces

Grade 3 = joint capsule and ligament stretch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Q: _____ seconds of static hold for pain, ______ seconds for stretching joint capsule (Kaltenborn).

A

10-20, 30-60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Diagram: Maitlan grading system - grades of movement for accessory glides

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Content: Maitland grading system (5)

A

Grade 1 = small amplitude in the resistance free range (1st 25%)

Grade 2 = large amplitude in the resistance free range (middle 50%)

Grade 3 = large amplitude into resistance or up to resistance (last 50%)

Grade 4 = small amplitude into resistance (last 25%)

Grade 5 = (manipulation) high velocity, small amplitude, thrust movement to the limit of available range or mid range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Diagram: Fill in the table below

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

T/F: The grades are based on the normal range.

A

False, based on restrictions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

T/F: These grades are progressive.

A

False: Grade 1 and 4 are similar just performed at different ranges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Q: Mobilization: __________ pain, __________ joint play, _____ vigorous, may ______ with it and __________ to manipulation.

A

Decrease, restore, less, start, progress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Q: Manipulation: ___________ pain, _________ joint motion, ________ adhesions, _________ loose bodies, requires ______ ______, when progress _________ or ___________ do not improve with the use of ______________.

A

Decrease, restore, break, remove, more, skills, plateaus, symtpoms, mobilization

41
Q

T/F: Grades 1-4 are assessment and Grade 5 is treatment

A

True

42
Q

Q: What is the biggest difference between mobilizaiton and manipulation?

A

Speed, mob = slow, manipulation = fast

43
Q

Content: PAM tests - Assessment of joint glides/accessory motion (3)

A
  1. un-restricted accessory glide
  2. excessive accessory glide
  3. restricted accessory glide
44
Q

Term: Motion limitaitons due to contractile tissues

A

Un-restricted accessory glide

45
Q

Term: Ligament or severe degeneration of joint surfaces

A

Excessive accessory glide

46
Q

Term: Limited joint glide and connective tissues

A

Restricted accessory glide

47
Q

T/F: If a pt. has CPR, a manipulation is indicated.

A

False: mobilization would be indicated

48
Q

Content: PAMS tests - Assessment of joint distraction

A
49
Q

Content: PAM tests - documentation (4)

A
  1. Specify direction of glide
  2. Quantity and quality of motion
  3. Reproduction of symtpoms/relief of pain
  4. Presence of muscle spasms
50
Q

Content: Incorporating mob/man into the assessment (4)

A
  1. Knowledge of joint surface and biomechanics
  2. Irritability of symtpoms
  3. Type of technique selection
  4. What is the focus of treatment - pain vs. resistance
51
Q

Content: Manual technique selection (2)

A
  1. Stages of healing vs. level of irritability
  2. Treating pain vs. resistance with mobilization
52
Q

Q: What manual technique would you choose for pain? (3)

A
  1. Least painful technique
  2. Low speed, shorter treatment (1-2 bouts of 20-30 sec)
  3. Grade 1 and 2
53
Q

Q: What manual technique would you choose for distraction that is for pain?

A

Grade 1 and 2

54
Q

Q: What manual technique would you use for spinal pain?

A

Grade 5/manipulation

55
Q

Q: What manual technique would you choose for resistance? (3)

A
  1. More end range techniques - increase vigor as tolerated
  2. Quicker speed, longer treatments (3-5 bouts of 45-60 sec)
  3. Grade 3 and 4
56
Q

Q: What manual technique would you chosse for distraction for resistance?

A

Grade 3

57
Q

Content: Manual technique selection - muscle restriction (2)

A
  1. Muscle stretching
  2. Hold/relax
58
Q

Content: Manual technique selection - joint restriction (3)

A
  1. Manipulation
  2. Grade 3 or 4 mob
  3. PPM
59
Q

Content: Manual technique selection - CPR (3)

A
  1. Grade 4 mob
  2. Prolonged stretch
  3. Distraction with or w/o movement
60
Q

Content: Manual technique selection - extreme hypomobility or pain through ROM

A

PPM

61
Q

Q: In what position should you perform manual techniques?

A

Loose packed, with sligh distraction

62
Q

Q: Some approaches advocate preliminary _____ ________ therapy or ____________ therapy prior to joint mobilization.

A

soft, tissue, modality

63
Q

Q: What hip glide facilitates joint mobility and pain relief?

A

Inferior

64
Q

Q: What hip glide facilitates flexion and IR?

A

Posterior

65
Q

Q: What hip glide facilitates extension and ER?

A

Anterior

66
Q

Q: What hip distraction facilitates joint mobility and pain relief?

A

Lateral

67
Q

Q: What knee PAM facilitates joint mobility and pain relief?

A

Distraction

68
Q

Q: What knee glide facilitates extension?

A

Anterior

69
Q

Q: What knee glide facilitates flexion?

A

Posterior

70
Q

Q: What talocural joint PAM facilitates joint mobility and pain relief?

A

Distraction

71
Q

Q: What talocural joint glide facilitates dorsiflexion?

A

Posterior or dorsal glide

72
Q

Q: What talocural joint glide facilitates plantarflexion?

A

Anterior or ventral glide

73
Q

Q: What subtalar joint PAM facilitates joint mobility and pain control?

A

Distraction

74
Q

Q: What subtalar joint glide facilitates inversion?

A

Medial

75
Q

Q: What subtalar joint glide facilitates eversion?

A

Lateral

76
Q

Q: What glenohumeral joint glide facilitates ER, extension, horizontal ABD?

A

Anterior

77
Q

Q: What glenohumeral joint glide facilitates IR, flexion, horizontal ADD?

A

Posterior

78
Q

Q: What glenohumeral joint glide facilitates elevation?

A

Inferior

79
Q

Q: What glenohumeral joint glide facilitates general hypomobility?

A

Lateral

80
Q

Q: What scapular glide facilitates elevation?

A

Superior

81
Q

Q: What scapular glide facilitates depression?

A

Inferior

82
Q

Q: What scapular glide facilitates ABD/Protraction?

A

Lateral

83
Q

Q: What scapular glide facilitates ADD/retraction?

A

Medial

84
Q

Q: What humeroulnar PAM facilitates joint mobility?

A

Distraction

85
Q

Q: What humeroulnar glide facilitates elbow extension?

A

Medial

86
Q

Q: What humeroulnar glide facilitates elbow flexion?

A

Lateral

87
Q

Q: What humeroradial PAM facilitates joint mobility?

A

Distraction

88
Q

Q: What distal radioulnar glide facilitates pronation?

A

Volar

89
Q

Q: What distal radioulnar glide facilitates supination?

A

Dorsal

90
Q

Q: What distal wrist/hand glide facilitates wrist extension?

A

Volar

91
Q

Q: What distal wrist/hand glide facilitates wrist flexion?

A

Dorsal

92
Q

Q: What distal wrist/hand glide facilitates radial deviation?

A

Ulnar

93
Q

Q: What distal wrist/hand glide facilitates ulnar deviation?

A

Radial

94
Q

Q: What distal MCP glide facilitates flexion?

A

Volar

95
Q

Q: What distal MCP glide facilitates extension?

A

Dorsal

96
Q

Q: What distal MCP glide facilitates ABD?

A

Radial

97
Q

Q: What distal MCP glide facilitates ADD?

A

Ulnar

98
Q

Q: What distal MCP PAM facilitates joint mobility?

A

Traction

PTRS 745 Exam 1 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions